OneMain loan proceeds cannot be used for postsecondary educational expenses, such as college, university, or vocational expenses; for any business or commercial purpose; to purchase securities; or for gambling or illegal activities.

Desired Loan Amount

$ for

I will be applying for this loan:

I will be applying for this loan:

IndividuallyWith a Co-applicant

Name

First Name:

Middle Initial:

Last Name:

Name

Home Address

Home Address:

Apt. Number (optional):

Zip Code:

City:

State:

Move-in Date:

Move In Year:

I have a separate mailing address.

Do you own property?

NoYes

If you own property, or are paying a mortgage on one, select Yes. Property includes a primary residence, second home, rental property, or vacant lot.

Home Address

Move-in Date

,

Note: The minimum loan amount in your state is $3,000.Note: The minimum loan amount in your state is $2,100.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $8,000.Note: Unless you are a present customer, the minimum loan amount in your state is $3,100.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $8,500.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $7,000.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $7,500.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $7,500.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $20,000.Note: The minimum loan amount in your state is $2,000.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $8,000.Note: The minimum loan amount in your state is $2,600.Note: Unless you are a present customer, the maximum loan amount for unsecured loans is $14,000.

Previous Address

Previous Address:

Apt. Number (optional):

Zip Code:

City:

State:

Move-in Date:

Move In Year:

Previous Address

Move-in Date

,

Mailing Address

Mailing Address:

Apt. Number (optional):

Zip Code:

City:

State:

Mailing Address

Email Address

Email Address:

We may email you to process your application, for account servicing or collections, to tell you about financial products and services and for other business purposes.

Email Address

Phone Number

Phone Number:

Phone Type

Home

Mobile

Other

By providing my telephone number, I expressly consent and agree to receive voice calls using automatic telephone dialing systems, prerecorded or artificial voice messages and text messages by or on behalf of OneMain regarding the processing of my loan application, and if approved, for other transactional purposes, such as the collection and servicing of my account. This consent applies to any telephone number I provide to OneMain now or in the future, including a number for a cellular phone or other wireless device and a number that I later convert to a cellular phone or other wireless device.

Phone Number

Date of Birth

Date of Birth:

Date of Birth Day:

Date of Birth Year:

Date of Birth

,

Social Security Number

Social Security Number:

Social Security Number

Monthly Net Income

Monthly Net Income:

Monthly Net Income is your income each month after taxes and deductions, which may include your monthly salary, social security, pension or other sources of income. You do not need to include alimony, child support, or separate maintenance income unless you want to have it considered as a basis for repaying this loan.

Net Income Calculator

How do you get paid or receive income?

If your income is non-taxable, please select "Other". Examples of income that may be non-taxable include some social security benefits, welfare benefits, workers compensation and veteran benefits. Please review IRS Publication 525 for assistance in determining whether your income is non-taxable.

Pay Type:

Hourly

Salary

Other

What is your hourly rate?

How many hours do you work per week?

What is your annual salary?

Non-taxable income

How often are you paid?

How much are you paid?

Income 1: $0/mo

Estimated Monthly Net Income: $0

Source of Income

Source of Income

Employed Self-Employed Retired Other

Current Employer

Month Hired

Year Hired

Previous Source of Income

Employed Self-Employed Retired Other

Previous Employer

Month Hired

Year Hired

Do you have a checking or savings account?

CheckingSavingsBothNone

Current Employer

Co-Applicant Information

Co-applicant Name

Co-applicant First Name:

Middle Initial:

Co-applicant Last Name:

Name

Co-applicant Home Address

Home Address:

Apt. Number (optional):

Zip Code:

City:

State:

Move-in Date:

Move In Year:

Home Address

Move-in Date

,

Co-applicant Previous Address

Previous Address:

Apt. Number (optional):

Zip Code:

City:

State:

Move-in Date:

Move In Year:

Previous Address

Move-in Date

,

Co-applicant Email Address

Email Address:

We may email you to process your application, for account servicing or collections, to tell you about financial products and services and for other business purposes.

Email Address

Co-applicant Phone Number

Phone Number:

Phone Type

Home

Mobile

Other

By providing my telephone number, I expressly consent and agree to receive voice calls using automatic telephone dialing systems, prerecorded or artificial voice messages and text messages by or on behalf of OneMain regarding the processing of my loan application, and if approved, for other transactional purposes, such as the collection and servicing of my account. This consent applies to any telephone number I provide to OneMain now or in the future, including a number for a cellular phone or other wireless device and a number that I later convert to a cellular phone or other wireless device.

Phone Number

Co-applicant Date of Birth

Date of Birth:

Date of Birth Month:

Date of Birth Day:

Date of Birth Year:

Date of Birth

,

Co-Applicant Social Security Number

Social Security Number:

Social Security Number

Co-applicant Monthly Net Income

Monthly Net Income:

Monthly Net Income is your income each month after taxes and deductions, which may include your monthly salary, social security, pension or other sources of income. You do not need to include alimony, child support, or separate maintenance income unless you want to have it considered as a basis for repaying this loan.

Monthly Net Income

$

Co-applicant Source of Income

Source of Income

Employed Self-Employed Retired Other

Current Employer

Month Hired

Year Hired

Current Employer

By providing my mobile and/or home number and checking this box, I consent to receive calls, text messages and pre-recorded messages via automated technology, including via auto-dialers, by or on behalf of OneMain, regarding its products and services, including promotions. We may send you up to 5 text messages per week. SMS Terms of Use

Your consent is not a condition of lending, and will not affect whether OneMain makes a loan to you.

I authorize OneMain to obtain my credit report in connection with my loan application. This will place a hard inquiry on my credit report which may impact my credit score. (Required to Proceed)I have reviewed, agree to and acknowledge receipt of the Terms of Use, Electronic Consent Agreement, Privacy Notice, and Privacy Policy. I confirm that I can receive and access electronic records, including the ability to receive email and access PDF files.

New York residents: A consumer report may be requested in connection with the processing of your application for credit. Upon request, you will be informed whether or not a consumer report was requested and, if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. Subsequent consumer reports may be requested or utilized in connection with an update, renewal, or extension of the credit.

(Required to Proceed)

Montana residents: Please read the following disclosures and mark the following checkbox to acknowledge receipt & understanding.

Montana Schedule of Charges – Fee Disclosure and Failure to Pay Statements for

Fees:

Returned Check Fee - $25.00

Late Charge – the greater of 5% of amount in default or $15.00 but not to exceed $50.00

Lien Recording Fee - the amount charged by the recording office, which will increase from time to time as the amount charged by the recording office increases. As of July 1, 2019, this amount is $4.12. This fee is charged only on loans secured by an automobile.

Request for Title Fee - the amount charged by the recording office, which will increase from time to time as the amount charged by the recording office increases. As of July 1, 2019, this amount is $12.36. This fee is charged only on loans secured by an automobile, when a new certificate of title is issued in connection with the loan, such as in the case of an automobile purchase.

Reasonable Attorney Fees for any judicial action filed by OneMain, if permitted under the terms of the loan agreement.

Insurance Premiums

Credit Life Insurance: For loan terms up to and including 63 months, the charges are based on gross coverage. The initial amount of coverage is based on the initial indebtedness (the sum of the total monthly payments). The following sample rates, used to determine the premium, are quoted as the rate per $100 of gross coverage and based on an example of 12 months of coverage. Other loan terms may change the premium cost which is disclosed on the Loan documents and Insurance Certificate.

Single Rate = $0.80

Joint Rate = 175% of the Single Rate

Credit Involuntary Unemployment Insurance: The charges are based on the sum of the total monthly payments (Initial Indebtedness) and the applicable premium rate provided below. The following rates, used to determine the premium, are quoted as the rate per $100 of Initial Indebtedness.

Single Rate = $2.71

Joint Rate = 175% of the Single Rate for insurance in connection with loans of all term lengths

Credit Disability Insurance: The charges are based on the sum of the total monthly payments (Initial Indebtedness), number of months of coverage, and the applicable premium rate provided below. The following sample rates, used to determine the premium, are quoted as the rate per $100 of Initial Indebtedness and based on an example of 12 months of coverage. Other loan terms may change the premium cost which is disclosed on the Loan documents and Insurance Certificate.

Single Rate = $1.61

Joint Rate = 180% of the Single Rate

Creditor-Placed Insurance: Lenders obtain Creditor-Placed Insurance (CPI) when the borrower fails to provide proof of or maintain insurance coverage required by the loan agreement. CPI provides limited coverage and protects the lender's and customer’s interest in the collateral property. Rates are set forth here “Rating Basis” indicates the lesser of the value of the collateral or the outstanding principal balance of the loan. Values shown in the Term in Months columns indicate the premium amount. For example, if insurance were placed for 11 months with a Rating Basis of $5,000, the total premium would be $259.00

Not all applicants will qualify for larger loan amounts or most favorable loan terms. Larger loan amounts require a first lien on a motor vehicle no more than ten years old, that meets our value requirements, titled in your name with valid insurance. Loan approval and actual loan terms depend on your ability to meet our credit standards (including a responsible credit history, sufficient income after monthly expenses, and availability of collateral). APR’s are generally higher on loans not secured by a vehicle. Active duty military, their spouse or dependents covered by the Military Lending Act may not pledge any vehicle as collateral.

Borrowers in these states are subject to these minimum loan sizes: Alabama: $2,100. California: $3,000. Georgia: Unless you are a present customer, $3,100 minimum loan amount. Ohio: $2,000. Virginia: $2,600.

Borrowers (other than present customers) in these states are subject to these maximum unsecured loan sizes: Florida: $8,000. Iowa: $8,500. Maine: $7,000. Mississippi: $7,500. North Carolina: $7,500. New York: $20,000. Texas: $8,000. West Virginia: $14,000. An unsecured loan is a loan which does not require you to provide collateral (such as a motor vehicle) to the lender.

For Housing Counselors in the State of Washington, please email us at the following link in regards to your customers loan modification status: REModifications@onemainfinancial.com. Please ensure your customer has provided us with authorization to work with you.

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Personal and Auto Loans Since 1912

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